Monograph 22 A Socioecological Approach to Addressing Tobacco-Related Health Disparities

Monograph 22 Cover

Tobacco use remains the nation’s leading cause of preventable premature death, including death from cancer, and progress in reducing tobacco use and related disease and death has not been equally distributed across population groups. This monograph examines the current evidence surrounding tobacco-related health disparities (TRHD) across the tobacco use continuum—initiation, secondhand smoke exposure, current use, frequency and intensity, cessation, relapse, morbidity, and mortality—and the implications for future research and implementation of effective strategies.

As this monograph demonstrates, a central challenge for cancer control is to ensure that all Americans benefit from advances in tobacco control research and practice.

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Ordering Information

The tobacco monographs can be ordered by sending an email to Please include the title and/or NCI Publication Number and the requested quantity.*

* Only Executive Summary (Publication ID: M006) is available.

Suggested Citation

U.S. National Cancer Institute. A Socioecological Approach to Addressing Tobacco-Related Health Disparities. National Cancer Institute Tobacco Control Monograph 22. NIH Publication No. 17-CA-8035A. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute; 2017.

View Individual Chapters

Chapters and key topics covered within each chapter are listed below. Chapters generally include an introductory section, details on methodology, a chapter summary, research needs, and a reference list.

Section 1. Overview and Epidemiology

Section 2. Intrapersonal/Individual Factors Associated with Tobacco-Related Health Disparities

Section 3. Interpersonal and Contextual Factors That Contribute to Tobacco-Related Health Disparities

Section 4—Societal Level Influences of Tobacco Use

Last Updated
September 24, 2020